MAUDE Adverse Event Report: BECTON DICKINSON MEDICAL (SINGAPORE) BD CATHENA¿ SAFETY IV CATHETER; INTRAVASCULAR CATHETER

Catalog Number 386804

Device Problem Material Separation (1562)

Patient Problem Phlebitis (2004)

Event Date 07/18/2023

Event Type  malfunction  

Event Description

It was reported that the bd cathena¿ safety iv catheter experienced separation.The following information was provided by the initial reporter, translated from spanish to english: catheter separation: "devices connected to the catheter are disconnected after a period of time.".

Manufacturer Narrative

B.3.Date of event: unknown.The date received by manufacturer has been used for this field.There were multiple lot numbers reported to be involved.The information for each additional lot number is as follows: d.4.Medical device lot #: 2329609 d.4.Medical device expiration date: 30-nov-2022 h.4.Device manufacture date: 28-nov-2022 d4.Medical device lot #: unknown d4.Medical device expiration date: unknown h4.Device manufacture date: unknown h3.A device evaluation is anticipated but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.

Manufacturer Narrative

The following fields were updated due to additional information: d10: device available for eval yes.D10: returned to manufacturer on: 10-aug-2023.Our quality engineer inspected the 2 representative samples submitted for evaluation.The reported issue of separation catheter from adapter was not confirmed upon inspection and testing of the samples.Analysis of the samples showed that they had no observable damages or defects.All of the samples were found to be within manufacturing specifications.Bd could not determine a manufacturing related root cause since the reported defect was not confirmed during the evaluation of the samples.Production records were reviewed, and this batch meets our manufacturing specification requirements.H3 other text : see h10.

Event Description

It was reported that the bd cathena¿ safety iv catheter experienced separation.The following information was provided by the initial reporter, translated from spanish to english: catheter separation: "devices connected to the catheter are disconnected after a period of time.".

• Brand Name: BD CATHENA¿ SAFETY IV CATHETER
• Type of Device: INTRAVASCULAR CATHETER
• Manufacturer (Section D): BECTON DICKINSON MEDICAL (SINGAPORE); 30 tuas avenue 2; singapore
• Manufacturer (Section G): BECTON DICKINSON MEDICAL (SINGAPORE); 30 tuas avenue 2; singapore
• Manufacturer Contact: jennifer suh ; 5859 farinon drive; san antonio, TX 78249 ; 8448235433
• MDR Report Key: 17466791
• MDR Text Key: 321323510
• Report Number: 8041187-2023-00396
• Device Sequence Number: 1
• Product Code: FOZ
• UDI-Device Identifier: 00382903868049
• UDI-Public: (01)00382903868049
• Combination Product (y/n): N
• Reporter Country Code: SP
• PMA/PMN Number: K220584
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Other,Company Representative
• Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date: 09/18/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Other
• Device Catalogue Number: 386804
• Device Lot Number: SEE H.10
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Initial Date Manufacturer Received: 07/18/2023
• Initial Date FDA Received: 08/04/2023
• Supplement Dates Manufacturer Received: 09/18/2023
• Supplement Dates FDA Received: 10/01/2023
• Was Device Evaluated by Manufacturer?: Yes
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1